Justin Ray Travis (NPI# 1295177152, PAC ID# 3375777030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1295177152 |
| PAC ID by PECOS | 3375777030 |
| Professional Enrollment ID | I20190730002997 |
| Full Name | Justin Ray Travis |
| Organization Legal Name | CLARKSON OPTOMETRY MIDWEST INC |
| Address |
1748 Broadway St Paducah KY 42001-2706 |
| Phone Number | 2704439955 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749504165 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1748 Broadway St, Paducah, KY 42001-2706 | 2704439955 | CLARKSON OPTOMETRY MIDWEST INC |
| Organization Legal Name | CLARKSON OPTOMETRY MIDWEST INC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan Andrews | Optometry | Clarkson Optometry Midwest Inc | 4708 W Broad St, Rinkov Eyecare, Columbus, OH 43228-1613 |
| Cara Marie Wampler | Optometry | Clarkson Optometry Midwest Inc | 3951 W Franklin St, Bellbrook, OH 45305-1834 |
| Bryan Jacob Frantz | Optometry | Clarkson Optometry Midwest Inc | 530 G Wessel Dr, Fairfield, OH 45015-3651 |
| Lori Akridge Mcstoots | Optometry | Clarkson Optometry Midwest Inc | 10232 Westport Rd, Louisville, KY 40241-2148 |
| Elizabeth Correa | Optometry | Clarkson Optometry Midwest Inc | 2751 Blue Rock Rd, Cincinnati, OH 45239-6332 |
| Eric Fox | Optometry | Clarkson Optometry Midwest Inc | 2054 Anderson Ferry Rd, Cincinnati, OH 45238-3326 |
| Sarah G Baughman | Optometry | Clarkson Optometry Midwest Inc | 3785 S High St, Columbus, OH 43207-4011 |
| Amy Ruzicka | Optometry | Clarkson Optometry Midwest Inc | 2498 Dixie Hwy, Fort Mitchell, KY 41017-3010 |
| Lindsey Wilson | Optometry | Clarkson Optometry Midwest Inc | 1064 State Route 28 B, Milford, OH 45150-4940 |
| Julie Boyce | Optometry | Clarkson Optometry Midwest Inc | 9525 Kenwood Rd, Blue Ash, OH 45242-6176 |
| Street Address |
1748 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip | 42001-2706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Tucker | Optometry | Clarkson Optometry Midwest Inc | 1748 Broadway St, Paducah, KY 42001-2706 |
| Chelsey D Johnson | Optometry | Clarkson Optometry Midwest Inc | 1748 Broadway St, Paducah, KY 42001-2706 |
| Mark Owens | Optometry | Clarkson Optometry Midwest Inc | 1748 Broadway St, Paducah, KY 42001-2706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duncan E Darnell | Psychiatry | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Sondra A Jones | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Devin Michael Lewis | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 103, Paducah, KY 42001-0713 |
| Craig D Keene | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Leah E Fondaw | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Pamela G Owen | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Fumiko Hattori | Nurse Practitioner | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Ronnie Edward Golden | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Elizabeth A Fleming | Clinical Social Worker | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Paducah, KY 42001-0713 |
| Kiandra K Hebert | Psychologist, Clinical | Western Ky Regional Mhmr Board Inc | 425 Broadway St, Suite 102, Paducah, KY 42001-0713 |
| Find all physicians in zip 42001 | |||
| City | PADUCAH |
| Zip Code | 42001 |
| Specialty | OPTOMETRY |
| City + Specialty | PADUCAH + OPTOMETRY |
Please comment or provide details below to improve the information on Justin Ray Travis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.